Pravastatin-induced lichenoid drug eruption

Although drug eruptions caused by pravastatin and other lovastatin analogs have previously been described, reports of lichenoid eruptions are rare. We report a patient whose lichenoid lesions developed after initiation, resolved on discontinuation, and reappeared on rechallenge with pravastatin therapy. A brief review of lichenoid drug eruptions and skin lesions due to 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors is discussed.